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psnet.ahrq.gov/issue/new-research-highlights-role-patient-safety-culture-and-safer-care
May 20, 2009 - Commentary
New research highlights the role of patient safety culture and safer care.
Citation Text:
Clancy CM. New research highlights the role of patient safety culture and safer care. J Nurs Care Qual. 2011;26(3):193-6. doi:10.1097/NCQ.0b013e31821d0520.
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psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
July 21, 2009 - Newspaper/Magazine Article
Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety.
Citation Text:
Luther K, Resar RK. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Healthcare executive. 2013;28(1):84-…
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes?
Citation Text:
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368.
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psnet.ahrq.gov/issue/i-thought-daniel-was-safe-nhs-he-wasnt
March 24, 2021 - Newspaper/Magazine Article
I thought Daniel was safe with the NHS. He wasn't.
Citation Text:
I thought Daniel was safe with the NHS. He wasn't. Calvert J, Arbuthnott G. The Sunday Times (UK). March 1, 2020.
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psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know
December 22, 2008 - Review
Techniques to improve patient safety in hospitals: what nurse administrators need to know.
Citation Text:
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
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psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - Commentary
Emerging Classic
Abandon the term "second victim."
Citation Text:
Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.
Citation Text:
Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672.
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psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
November 17, 2009 - Newspaper/Magazine Article
The Leapfrog Group's CPOE standard and evaluation tool.
Citation Text:
The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25.
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psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
October 14, 2020 - Book/Report
Guiding Principles to Achieve Continuity in Medication Management.
Citation Text:
Guiding Principles to Achieve Continuity in Medication Management. Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-76007-471-5.
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Newspaper/Magazine Article
No bad apples.
Citation Text:
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
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psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
May 17, 2017 - Newspaper/Magazine Article
FDA to end program that hid millions of reports on faulty medical devices.
Citation Text:
FDA to end program that hid millions of reports on faulty medical devices. Jewett C. Kaiser Health News. May 3, 2019.
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psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
November 18, 2011 - Book/Report
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.
Citation Text:
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…
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psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-cant-get-meds
September 20, 2023 - Newspaper/Magazine Article
Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds.
Citation Text:
Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. Allen A. KFF Health News. June 21, 2023.
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - Book/Report
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.
Citation Text:
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities. Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008. …
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psnet.ahrq.gov/issue/leaders-role-medical-device-safety
August 14, 2017 - Newspaper/Magazine Article
The leader's role in medical device safety.
Citation Text:
Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate policies, procedures. Healthcare executive. 2013;28(3):82-5.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
January 24, 2024 - Newspaper/Magazine Article
How a major public hospital is protecting doctors by silencing the patients who accuse them.
Citation Text:
How a major public hospital is protecting doctors by silencing the patients who accuse them. Kamb L. NBC News. June 14, 2024,
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - EMR Entry Error: Not So Benign
April 1, 2009
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
The Case
A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint
of shortness of breath. He was …
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA
December 1, 2006
In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
Editor's Note: J. Bryan Sexton, PhD, MA, is Assistant Professor, Department of Anesthesiology and
Critic…